Maple Winds Care Center - Portage Nursing Home
General Information
UPDATEFederal Provider Number
396088
Provider Name
MAPLE WINDS CARE CENTER
Provider Address
4112 SPRING HILL ROAD
PORTAGE, PA 15946
PORTAGE, PA 15946
Provider Phone Number
(814) 736-6006
Provider SSA County
160
Provider County Name
Cambria
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
34
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAPLE WINDS CARE CENTER CO. LLC
Date First Approved to Provide Medicare and Medicaid services
2003-09-11
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.41765
Reported LPN Staffing Hours per Resident per Day
0.81324
Reported RN Staffing Hours per Resident per Day
1.04265
Reported Licensed Staffing Hours per Resident per Day
1.85588
Reported Total Nurse Staffing Hours per Resident per Day
3.27354
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16765
Expected CNA Staffing Hours per Resident per Day
2.72965
Expected LPN Staffing Hours per Resident per Day
0.72751
Expected RN Staffing Hours per Resident per Day
1.20084
Expected Total Nurse Staffing Hours per Resident per Day
4.65800
Adjusted CNA Staffing Hours per Resident per Day
1.27434
Adjusted LPN Staffing Hours per Resident per Day
0.92781
Adjusted RN Staffing Hours per Resident per Day
0.64877
Adjusted Total Nurse Staffing Hours per Resident per Day
2.83283
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-10-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-11-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
43.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
3
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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